2027 NEWEST EXAM | ALL QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED
A client provides the nurse with information about the reason for seeking care.
The nurse realizes that some information about past hospitalizations is missing.
How should the nurse obtain this information?
Solicit information on hospitalization from the insurance company.
Look up previous medical records from archived hospital documents.
Ask the client to discuss previous hospitalizations in the last 5 years.
Elicit specific facts about past hospitalizations with direct questions.
Elicit specific facts about past hospitalizations with direct questions.
Direct questions should be used after the client's opening narrative to fill in any
details that have been left out or during the review of systems to elicit specific
facts about past health problems.
,A signed consent form indicated a client should have an electromyogram, but a
myelogram was performed instead. Though the myelogram revealed the cause of
the client's back pain, which was subsequently treated, the client filed a lawsuit
against the nurse and healthcare provider for performing the incorrect
procedure. The court is likely to rule in favor of the plaintiff because these events
represent what infraction?
A quasi-intentional tort because a similar mistake can happen to anyone.
Failure to respect client autonomy to choose based on intentional tort law.
Assault and battery with deliberate intent to deviate from the consent form. An
unintentional tort because the client benefited from having the myelogram.
Assault and battery with deliberate intent to deviate from the consent form.
The client was not properly informed of the procedure, and failure to obtain
informed consent constitutes assault and battery (C). (A) is injury to economics
and dignity, such as invasion of privacy or defamation of character. This is not an
incident of failure to respect the client's autonomy (B). An unintentional tort (D) is
an act in which the outcome was not expected, such as negligence or
malpractice.
,A client in hospice care develops audible gurgling sounds on inspiration. Which
nursing action has the highest priority?
Ensure cultural customs are observed.
Increase oxygen flow to 4L/minute.
Auscultate bilateral lung fields.
Inform the family that death is imminent.
Inform the family that death is imminent.
An audible gurgling sound produced by a dying client is characteristic of
ineffective clearance of secretions from the lungs or upper airways, causing a
"rattling" sound as air moves through the accumulated fluid. The nursing priority
in this situation is to convey to the family that the client's death is imminent (D).
Although culturally sensitive care should be observed throughout the client's
plan of care (A), this is not the priority at this time. Administration of oxygen may
be expected care, but a flow rate greater than 2 L/minute (B) is not palliative
care. (C) may provide additional information, but is not necessary as death
approaches.
, When making the bed of a client who needs a bed cradle, which action should
the nurse include?
Teach the client to call for help before getting out of bed.
Keep both the upper and lower side rails in a raised position.
Keep the bed in the lowest position while changing the sheets.
Drape the top sheet and covers loosely over the bed cradle.
Drape the top sheet and covers loosely over the bed cradle.
A bed cradle is used to keep the top bedclothes off the client, so the nurse
should drape the top sheet and covers loosely over the cradle (D). A client using a
bed cradle may still be able to ambulate independently (A) and does not
require raised side rails (B). (C) causes the nurse to use poor body mechanics.